Kranial Bilgisayarlı Tomografi Videolarını Değerlendirmek İçin Akıllı Telefon Kullanma: Gözlemciler Arası Çalışma

Abstract

Amaç: Birçok klinisyen akıllı telefonlarından Beyin Bilgisayarlı Tomografi (BBT) görüntüleri veya videoları ile hasta değerlendirmektedir. Bu çalışmanın amacı, akıllı telefon aracılığıyla paylaşılan BBT videolarının tanıda güvenilirliğini değerlendirmektir. Metod: WhatsApp üzerinden gönderilen BBT videoları 9 bölgeye ayrılarak değerlendirildi: yumuşak doku, kemik yapısı, parankim, ventrikül, damar yapıları, orta kulak, orbita, sinüsler ve ekstra aksiyel alan. Bulgular: BBT videoları 9 bölümde incelendi; bu bölümlerden birinde uzmanlar arasında mükemmel uyum, 6'sında iyi uyum, 2'sinde zayıf uyum vardı. Altın standart ile karşılaştırıldığında, 9 bölümden 5'inin altın standardına alternatif olabileceği gösterildi. Sonuç: BBT videolarının değerlendirilmesinin ucuz, hızlı ve yaygın bir uygulama olan WhatsApp gibi mesajlaşma uygulamaları ile sağlanabileceği düşünülebilir. Ancak bu çalışma, bir messenger uygulaması tarafından akıllı telefon üzerinden paylaşılan tanısal görüntü ve videoların standart değerlendirmelere alternatif olamayacağını göstermektedir.

Keywords

• Whatsapp
• Çok kesitli bilgisayarlı tomografi
• Video kayıt
• Akıllı telefon

Using Smartphone to Evaluate Cranial Computed Tomography Videos: An Inter-Observer Study

Abstract

Objective: Many clinicians receive Cranial Computed Tomography (CCT) images or videos by their smartphone. The aim of this study was to evaluate the reliability of the CCT videos that are shared through smartphone in the diagnosis. Method: The CCT videos that were sent via WhatsApp were examined in 9 sections: soft tissue, bone structure, parenchyma, ventricle, vascular structures, middle ear, orbits, sinuses and the extra axial space. Result: The CCT videos were analyzed in 9 sections; there was a perfect agreement among specialists in one of these sections, good agreement in 6 and poor agreement in 2. When compared with the gold standard, it was shown that 5 out of 9 sections could be an alternative to the gold standard. Conclusion: It may be thought that evaluation of the CCT videos can be obtained with messenger applications such as WhatsApp, which is a cheap, fast and common application. But this study shows that diagnostic images and videos shared through the smartphone by a messenger application can not be an alternative to standard evaluations.

Keywords

• whatsapp
• Multidedector Computed Tomography
• Video Recording
• Smartphone

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